Provider Demographics
NPI:1245346246
Name:RIXFORD, MARY EWING (MA, LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:EWING
Last Name:RIXFORD
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 HILLCREST PLAZA DR
Mailing Address - Street 2:SUITE 222
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1425
Mailing Address - Country:US
Mailing Address - Phone:972-788-0990
Mailing Address - Fax:
Practice Address - Street 1:6750 HILLCREST PLAZA DR
Practice Address - Street 2:SUITE 222
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1425
Practice Address - Country:US
Practice Address - Phone:972-788-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11131101YP2500X
TX000843106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist